Care Management Support Professional

Humana

1d • $45,400 - $61,300 • Remote

About The Position

Humana is looking for a Care Management Support Professional to support members in overcoming barriers to improved health and well-being in a telephonic environment. You will provide administrative and non-clinical support for the assessment and evaluation of member needs, facilitating appropriate care management interventions and services. As part of the care management team, the Care Management Support Professional contributes to the coordination and administration of member support activities in partnership with nurse care managers, social workers, and other interdisciplinary team members. This role is essential to helping members access needed resources and support their journey toward achieving or maintaining optimal wellness.

Requirements

• Bachelor's degree in Social Work, Human Services, Public Health, Psychology, Sociology, Health Administration, or a related field.
• 2 years' experience working with members, patients, clients, or community populations in a healthcare, human services, social services, public health, or customer support setting.
• Knowledge of Social Determinants of Health, community resources, and barriers that may impact access to care.
• Effective written and verbal communication skills, including the ability to conduct telephonic assessments and engage members with empathy, professionalism, and respect.
• Ability to manage multiple responsibilities efficiently, including answering inbound calls, initiating outbound calls through web-based systems, and navigating multiple platforms with accuracy and ease.
• 2 years' experience with Microsoft Office applications.

Nice To Haves

• Non-clinical case management experience supporting members who have co-occurring medical and behavioral health conditions and financial needs.
• Familiarity with Medicare and Medicaid
• Bilingual in Spanish or Creole preferred.

Responsibilities

• Complete telephonic, non-clinical assessments with members to identify Social Determinants of Health (SDOH) needs. These needs include concerns related to transportation, food insecurity, housing, utilities, gaps in care, and other potential barriers to health and wellness.
• Gather relevant member information in a professional and respectful manner, including member needs, concerns, current challenges, available supports, and potential barriers to accessing care or services.
• Use knowledge of SDOH and community resources to identify, research, document, and coordinate appropriate services that support member health, safety, and overall well-being.
• Provide education and care coordination to connect members with resources to meet their SDOH needs and close gaps in care.
• Champion the member experience by guiding members and their families toward appropriate resources in a professional, empathetic, culturally sensitive, and member-centered manner.
• Document all interactions with members, providers, community resources, and members of the interdisciplinary care team within the electronic medical record.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level